| NPI | 1972624955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN A MARSHAK Owner 310-553-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: CA G78454) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-07-07 |